Official Summary

Digest: This Act tells a health insurer to pay a health care provider in the same way it would pay them if they were in-network during a certain time and in some situations. Tells the provider to pay back the money sometimes. Tells insurers to tell providers that their application is incomplete in certain circumstances. (Flesch Readability Score: 61.6). [Digest: This Act tells a health insurer to pay a health care provider in the same way it would pay if they were in-network during a certain time and in some situations. (Flesch Readability Score: 63.4).] Requires health insurers to pay providers who are joining an in-network practice the same as in-network providers during the credentialing period. Requires repayment by the provider group if the provider does not meet credentialing criteria or submit a complete application. Establishes a notification process of an incomplete application for the purpose of determining repayments. Takes effect on the 91st day following adjournment sine die.